NPIMap

Individual provider Active NPI

James Kong, M.D.

  • Internal Medicine Physician
  • Alameda, CA
National Provider Identifier
1366426470
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A84509 Issued in CA
Practice address
501 S Shore Ctr W
Suite 103C
Alameda, CA 94501-5762
Phone
(510) 769-1118
Fax
(510) 769-1119
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X A84509 CA
Internal Medicine Physician 207R00000X A84509 CA Primary

Addresses

Primary practice location

501 S Shore Ctr W
Suite 103C
Alameda, CA 94501-5762

Mailing address

PO Box 1560
Alameda, CA 94501-0173
Phone (510) 769-1118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617001026 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6406890607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Ohio State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 S Shore Ctr W
Suite 103C
Alameda, CA 94501-5762
Phone (510) 769-1118

Hospital & facility affiliations

  • Alameda Hospital Hospital, Alameda, CA, CCN 050211
  • Highland Hospital Hospital, Oakland, CA, CCN 050320

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84509CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Allergy CurrentSince Apr 1, 2014 Accepting new patients
Emeryville Multispecialty Medical Group Professional Corporation Internal Medicine CurrentSince Jul 18, 2007 Accepting new patients
Regents of the Univ of Ca CurrentSince Apr 1, 2014 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Alameda Health System Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

501 S Shore Ctr W
Ste 103C
Alameda, CA 94501
Phone (510) 769-1118

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

4860 Y St
Ste 400
Sacramento, CA 95817
Phone (916) 734-1482

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1366426470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945010173",
            "telephone_number": "510-769-1118",
            "fax_number": "510-769-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W",
            "address_2": "SUITE 103C",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015762",
            "telephone_number": "510-769-1118",
            "fax_number": "510-769-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A84509",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.